DC 37 Dental Plan

1 DC 37 Dental plan Complete List of Participating Panel Dentists SPECIALTY KEY September, 2018 OS = Oral Surgeon Page 1 This listing is updated monthly. You must verify that the dentist is still participating in our plan at the time you call to schedule an appointment and when you receive your Dental treatment. If you use a participating oral surgeon, you may pay $25 for the examination and $40 for the panoramic x-ray at your initial visit. You should file a separate claim for these procedures. Payment will be made to the member, based on the plan 's fee schedule, if the patient is eligible for the service, subject to frequency restrictions (every 6-months for an examination and every two (2) years for a panoramic x-ray). If you use a participating periodontist, you will pay a $10 per quadrant member co-payment for periodontal surgery. Co-payments are not reimbursed by the plan . OS MOFS-NJ OR&FACI 901 WASHINGTON STREET HOBOKEN NJ 07030 201-659-1600 OS R BIONDO 30 EAST 40TH ST STE206 NEW YORK NY 10016 212-889-4700 OS CENTRAL PK SO D 30 CENTRAL PK S #3A NEW YORK NY 10019 212-759-2993 OS ETUFUGH NGOZI 30 CENTRAL PARK S #4D NEW YORK NY 10019 212-371-2930 OS MANHATTAN ORAL 18 EAST 50TH ST 5TH FL NEW YORK NY 10022 347-590-9910 OS M MOSES 30 EAST 60 ST STE 608 NEW YORK NY 10022 212-421-1839 OS PERFECT Dental 30 EAST 60TH ST #608 NEW YORK NY 10022 212-644-7009 OS PERFECT Dental 30 EAST 60TH ST #608 NEW YORK NY 10022 212-644-7009 OS KINGS ORAL&FACI 63 W 125TH ST 2ND FL NEW YORK NY 10027 212-348-9500 OS ORAL & MAXILLO 63 W 125TH ST 2ND FL NEW YORK NY 10027 212-348-3600 OS EASTSIDE ORAL S 231 EAST 106TH STREET NEW YORK NY 10029 212-348-0020 OS MANHATTAN ORAL 3915 BROADWAY NEW YORK NY 10032

2 212-567-5536 OS NEW HEIGHTS ORL 651 WEST 180TH ST #1F NEW YORK NY 10033 212-927-0565 OS MANHATTAN ORAL 2168 THIRD AVE NEW YORK NY 10035 646-360-4840 OS 2025 RICHMOND AVENUE STATEN ISLAND NY 10314 718-761-0500 OS MANHATTAN ORAL 3056 THIRD AVENUE BRONX NY 10451 347-590-9251 OS ADVANCED BRONX 237 WILLIS AVE BRONX NY 10454 718-292-6209 OS MANHATTAN ORAL 1241 CASTLE HILL AVE BRONX NY 10462 347-590-9917 OS MANHATTAN ORAL 5209 BROADWAY BRONX NY 10463 646-964-5960 OS MANHATTAN ORAL 2403 GRAND CONCOURSE BRONX NY 10468 347-590-8150 OS MANHATTAN ORAL 3457 BOSTON ROAD BRONX NY 10469 347-590-9916 OS MANHATTAN ORAL 6118 RIVERDALE AVE BRONX NY 10471 347-590-9915 OS MOFS-NJ OR&FACI 6118 RIVERDALE AVENUE BRONX NY 10471 929-222-3070 OS PREMIER ORAL SU 3370 BAYCHESTER AVE-#8 BRONX NY 10475 718-671-2823 OS MANHATTAN ORAL 360 ROUTE 211 EAST MIDDLETON NY 10940 845-775-4490 OS R C BENN 177 LIVINGSTON ST BROOKLYN NY 11201 718-403-0700 OS DR.

3 D LORENZO 177 LIVINGSTON ST-GRFL BROOKLYN NY 11201 718-403-0700 OS DR. A ONYEJIUWA 730 BROADWAY BROOKLYN NY 11206 718-963-1919 OS R I GRANNUM 730 BROADWAY BROOKLYN NY 11206 718-963-1919 OS CAMPBELL F 405 COZINE AVE BROOKLYN NY 11207 718-927-2530 OS B B MALTZ 955 PENNSYLVANIA AVE BROOKLYN NY 11207 718-272-8300 OS BAY RIDGE-ORAL 372 86TH STREET BROOKLYN NY 11209 718-680-6565 Rev. 9/2018 Page 2 OS KESSLER DAVID 183 NORTH 6TH STREET BROOKLYN NY 11211 718-388-3737 OS JESAL SHAH BMD 4609 5TH AVE 2ND FL BROOKLYN NY 11220 718-854-3191 OS ADV BRONX DENT 851 MANHATTAN AVE BROOKLYN NY 11222 718-874-0104 OS MOSES DATSON 2848 CHURCH AVE BROOKLYN NY 11226 718-284-5500 OS NYC ORAL SURGY ONE HANSON PLACE #707 BROOKLYN NY 11243 718-783-6000 OS DENT&IMPL 142-38 37TH AVE UNIT1G FLUSHING NY 11354 347-943-1960 OS ALL COUNTY ORAL 27-30 FRANCIS LEWIS BL FLUSHING NY 11358 718-762-2340 OS ORAL & MAXILLO 103-08 ROOSEVELT AVE CORONA NY 11368 718-397-9000 OS MANHATTAN ORAL 82-12 37TH AVE JACKSON HEIGHTS NY 11372 347-738-4775 OS NYC ORAL SURGER 33-53 82ND ST.

4 #A01 JACKSON HTS NY 11372 718-899-7811 OS RODNEY RAST PLL 37-06 82ND ST STE #304 JACKSON HEIGHTS NY 11372 516-482-0329 OS SLAVA SHAPIRO 70-09 AUSTIN ST.# 201 FOREST HILLS NY 11375 718-261-2790 OS S R IZZO 68-53 FRESH POND ROAD RIDGEWOOD NY 11385 718-821-2545 OS HOLLIS ADV DENT 190-02 JAMAICA AVE-2FL HOLLIS NY 11423 718-454-7418 OS ETUFUGH NGOZI 33 FRONT STREET #307 HEMPSTEAD NY 11550 516-292-6700 OS ALL COUNTY DENT 425 BROAD HOLLOW ROAD MELVILLE- S#102 NY 11747 631-752-1033 OS SLAVA SHAPIRO 167 FROEHLICH FARM BLV WOODBURY NY 11797 516-677-9777 OS NORTH SHORE PC 901 OLD COUNTRY ROAD PLAINVIEW NY 11803 516-681-5330